Provider Demographics
NPI:1225301922
Name:MELINIS, EILEEN (RN)
Entity Type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:
Last Name:MELINIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 OGDEN PARMA TOWN LINE RD
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-1654
Mailing Address - Country:US
Mailing Address - Phone:585-349-5651
Mailing Address - Fax:585-349-5686
Practice Address - Street 1:131 LONG WOOD DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14612-2713
Practice Address - Country:US
Practice Address - Phone:585-225-7509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-12
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY365540-1163W00000X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WS0200XNursing Service ProvidersRegistered NurseSchool